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DR. KATHY ROUCEK PRAIRIE FNP
NPI 1356924674
Nurse Practitioner - Family in New York, NY

Active since May 04, 2021PECOS Enrolled
139 CENTRE ST PH 120, NEW YORK, NY 10013(888) 731-8994 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2025, May 4, 2021 (2 updates tracked since 2021).

About Dr. Kathy Roucek Prairie Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHY ROUCEK PRAIRIE FNP (NPI 1356924674) is an individual family provider in New York, New York, licensed in New York (332059) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1356924674
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. KATHY ROUCEK PRAIRIECredential: FNP
Location Address139 CENTRE ST PH 120New York, NY 10013-4559
Mailing Address139 Centre St Ph 120New York, NY 10013-4559 · (888) 731-8994
Phone(888) 731-8994
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 4, 2021
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1356924674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 332059
139 CENTRE ST PH 120, New York, NY 10013
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathy Roucek Prairie Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911372321
PECOS Enrollment IDI20230417000551
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kathy Prairie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Albany Medical College
134 mi
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
NPI 1497921688 (518) 262-9600
W Bruce Clark MD PC
139 mi
Obstetrics & Gynecology
585 NEW LOUDON RD
Latham, NY 12110
  • Reassigned Medicare billing, New York enrollment
  • 17 clinicians in this Medicare group
NPI 1396959110 (518) 783-1472

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE D AARON CRNP
Nurse Practitioner (Women's Health)
139 CENTRE ST PH 120
NEW YORK, NY 10013
New York County (888) 731-8994
LAURA DIANE SHROYER NP
Nurse Practitioner (Family)
139 CENTRE ST PH 120
NEW YORK, NY 10013
New York County (888) 731-8994
DELIESSELINE M TURNER CNM, WHNP
Nurse Practitioner (Women's Health)
139 CENTRE ST PH 120
NEW YORK, NY 10013
New York County (888) 731-8994
CARLY ELISE HAMPTON BSN,RN,MSN, CNM
Nurse Practitioner (Women's Health)
139 CENTRE ST PH 120
NEW YORK, NY 10013
New York County (888) 731-8994
MS. KENDRA AISHA JOSEPH-RODGERS RN, WHNP
Nurse Practitioner (Women's Health)
139 CENTRE ST PH 120
NEW YORK, NY 10013
New York County (888) 731-8994
SHERRI L GILLAM CNP
Nurse Practitioner (Women's Health)
139 CENTRE ST PH 120
NEW YORK, NY 10013
New York County (888) 731-8994
DR. KATHLEEN MARY CSILLAG-KLEIN NP
Nurse Practitioner (Women's Health)
139 CENTRE ST PH 120
NEW YORK, NY 10013
New York County (888) 731-8994
CARRIE ENG-MAZUR MSN, WHNP-BC
Nurse Practitioner (Women's Health)
139 CENTRE ST PH 120
NEW YORK, NY 10013
New York County (888) 731-8994

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathy Prairie's NPI number?

The NPI number for Kathy Prairie is 1356924674. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Where is Kathy Prairie located?

Kathy Prairie practices at 139 Centre St Ph 120, New York, NY 10013. The listed phone number is (888) 731-8994.

What is Kathy Prairie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathy Prairie enrolled in Medicare?

Yes. Kathy Prairie is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathy Prairie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Prairie reassigns Medicare benefits to 2 organizations: Albany Medical College (Albany, NY) and W Bruce Clark MD PC (Latham, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathy Prairie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathy Prairie accept?

Health plans from UnitedHealthcare list Kathy Prairie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathy Prairie was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.